S&C QCOR ESRD 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ESRDs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Note: There is currently no ESRD 2567 data available past Feb 19, 2026 due to data system migrations.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific ESRD deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
672676 Champions Dialysis 4427 Cypress Creek Pkwy Houston TX 6 (Dallas) 02/07/2024 XFTP11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
672676 Champions Dialysis 4427 Cypress Creek Pkwy Houston TX 6 (Dallas) 10/10/2024 HK8011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
672677 Fresenius Medical Care Pamela Heights 15917 South Post Oak Road Houston TX 6 (Dallas) 05/03/2018 F1WY11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
672678 Dialyspa Medical Center 2453 South Braeswood, Suite 100 Houston TX 6 (Dallas) 02/21/2020 1CWA11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0542 Idt Develops Plan Of Care Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
672678 Dialyspa Medical Center 2453 South Braeswood, Suite 100 Houston TX 6 (Dallas) 01/03/2023 K1R811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
672678 Dialyspa Medical Center 2453 South Braeswood, Suite 100 Houston TX 6 (Dallas) 12/04/2023 UKCT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0450 Cfc - Patients' Rights Condition
V0463 Receive Services Outlined In Poc Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
V0754 Adm Resp For Fiscal Operations Standard
672680 Brazoria County Dialysis 405 This Way Lake Jackson TX 6 (Dallas) 03/20/2025 FB3I11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0549 Monitor Esa Response Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0762 Gb - Responsible For Medical Staff Credentialing Standard
672681 Global Dialysis Plus Inc 12823 Capricorn Drive Stafford TX 6 (Dallas) 03/26/2021 V7QH11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
672681 Global Dialysis Plus Inc 12823 Capricorn Drive Stafford TX 6 (Dallas) 08/23/2023 J71911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0504 Assess B/P & Fluid Management Needs Standard
672681 Global Dialysis Plus Inc 12823 Capricorn Drive Stafford TX 6 (Dallas) 12/02/2024 Z1ZU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard